Individual
JENNIFER MARY HANIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
41 DONALD B DEAN DR, S PORTLAND, ME 04106-3252
(207) 661-6064
Mailing address
41 DONALD B DEAN DR, PORTLAND, ME 04106-3252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17995
ME
Other
Enumeration date
06/12/2019
Last updated
09/29/2020
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